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Thanks, that is some very interesting information.
However my argument was made on the basis of things you seem to not take issue with.
I take it your are agreeing with what I said about medicare - cade not being bankrupt?
I don't agree with that. Most of medicaid is paid for by the states and the feds supplement it. Not only are the feds seriously broke, but many states are. There is no money set aside for medicaid in any fund. If the feds and the states are broke, so is medicaid.
There is no money set aside anywhere for medicare (or social security.) It's all been "borrowed" and spent. Therefore, since the feds are seriously broke, so is medicare and social security, right now.
I also take it that you didn't disagree with the statments I made about overhead costs of Medicare - cade compared to private insurance companies.
I don't agree with that. All I see in government is waste and inefficiency. They use fuzzy math to arrive at figures whether it's the current unemployment numbers or their medicare costs.
There is more (admitted by the government) fraud in medicare than you ascribe to "overhead." Private insurance companies are far more diligent about auditing and even requiring pre-approval for services and payments.
The admitted but not caught and prosecuted fraud in medicare is $60 billion per year. Let's get over the idea that the federal government is ever efficient.
The grants and reduced payment programs that you mentioned are not part of overhead, they would be part of operating costs.
Since I have a master's degree in business administration, you won't mind if I'm too stupid to know the difference between "overhead" and "operating costs," will you? Please explain in simple terms for me so that I can grasp this new concept?
I also take it your agreeing that private insurers limit the amount they will allow a provider to charge for a proceedure. It would be good to know how much less care-cade pay for similar services, maybe someday I'll have time to do that research.
Your research won't get you anywhere and I've already told you why. Gov't programs to have a schedule for payment and that's all they pay. It's less than private insurance companies or individuals pay. BUT they also give huge grants to hospitals and you could never parse that out, service for service.
You also have to place into your equation the clear fact that many indigent people get their services for free as payback for accepting the grants. We believe that the federal government, through grants (which they use to gain control, always) and actual payments for care pays more than private insurance companies.
And I guess you can't find the menu for the price of services either, even though there is a menu based on the max the insurers will allow a provider to charge for services.
So, apparently I can't really have that many misconceptions about the scope of my argument.
You are correct that there is a max that all insurance companies will pay for any service whether medicare, medicaid or private. I just don't understand how this makes medicare more efficient than private insurance which as I already mentioned follows and audits payments and the government doesn't. It costs money to do that, but it eliminates most fraud, something the government can't be bothered with.
i really haven't looked deeply into the operating costs of medicare - cade other than the huge figure in the federal budget, to come up with some good relative performance vs. the privates from that complexity would be tough. If I remember last time I took the budget figure and divided it by the number of served people it came out at about $8500 each, or just about what it costs to insure the average person, and that seemed pretty good since they are covering the old and infirm or basically the people no private health care insurance company would cover for a reasonable rate. I wonder if the grants you speak of are in that part of the federal budget.
No they aren't. That pie slice is for actual medical payments and overhead. That's why we don't really know what medicare and medicaid cost. Get this: Canadians, for instance, also have no idea what their "free" health care costs. They have so many taxes that it's a jumble. They pay about twice as much for gasoline as we do, even though they have more than they need and sell a lot to us. The same new Harley Davidson that I can buy here for $20k costs them $30k due to import taxes. It all gets lost and that's the way our governments want it.
Interesting stuff.
Never trust the government. They tell us we're $12-14 trillion in debt when the real number is $100 trillion.
They tell us that social security and medicare will be broke in about ten or twenty years when in fact they've already "borrowed" and spent all of the money and are themselves belly up. In every sense, social security and medicare and medicaid are broke today and we're already borrowing money to pay for it.